Connie Lewis’ Post

FlowGuide receives MDR CE approval.   Guide extension catheters have become an essential device in state-of-the-art PCI. The use of guide extension catheters induce pressure dampening especially when more deep intubation is needed. This cannot be prevented and it’s a limitation the cath lab team need work with.   Prevention of pressure dampening FlowGuide overcomes the unspoken today’s unmet need with nine very small perfusion holes assuring an FFR > 0.6. The perfusion holes assure sufficient perfusion into main side branches and the distal target lumen.   Designed for the transradial approach In the past 10 years primary access has been converted from femoral to the trans radial approach. Classic guide extension catheters are designed with a 25 cm distal shaft length resulting that the transition often end up in the subclavian artery and device insertion is compromised. The FlowGuide with a 15 cm distal shaft is designed to overcome these potential issues   FlowGuide PCI with a PLUS

#ComplexPCI #VascuarIntervention #Coronary #Vascularintervention #InterventionalCardiology #ClinicalData #WhatWouldYouChoose We proudly present new complex lesions treatment option

Ct coronary and LCX From RCC

80 yo, female, admission due to ACS 💔 -> CAG: 3VD including midRCA, midLCx and long critical and severely calcified stenosis of LMCA-LAD coronary ‼️ The first operator performed stenting-PCI of RCA and LCx, with excellent result. Then, in a staged-procedure, I performed the IVUS-guided Provisional-stenting PCI of LMCA/LAD: - Rotational Atherectomy with no any issues, using a 1.5 mm burr @160,000 rpm 💥 - Provisional PCI🫀in LAD/Diag bifurc; Provisional PCI in LM/LAD/LCx bifurc with POT, KBI, re-POT - final IVUS 🧿 showing LM-MSA 16.8 mmq and LAD-MSA 11.8 mmq, followed by further post-dilation of pLAD with 4.5 NC balloon and of LM with 5.0 NC balloon. No more angina, good clinical status and parameters 🧓🏼. Preserved LVEF at post-procedure EchoCardio. Excellent team work. Exciting days, with 3 LM-PCI in less than five days! 🎯 #SanCarloBorromeo_Hospital (ASST Santi Paolo e Carlo) #Interventional_Cardiology #ComplexPCI #IVUSguided #RotaPRO Lorenzo Tua Alberto Cereda Stefano Lucreziotti

FlowGuide receives MDR CE approval.   Guide extension catheters have become an essential device in state-of-the-art PCI. The use of guide extension catheters induce pressure dampening especially when more deep intubation is needed. This cannot be prevented and it’s a limitation the cath lab team need work with.   Reduction of pressure dampening FlowGuide overcomes the unspoken today’s unmet need with nine very small perfusion holes assuring an FFR > 0.6. The perfusion holes support sufficient perfusion into main side branches and the distal target lumen.   Designed for the transradial approach In the past 10 years primary access has been converted from femoral to the trans radial approach. Classic guide extension catheters are designed with a 25 cm distal shaft length resulting that the transition often end up in the subclavian artery and device insertion is compromised. The FlowGuide with a 15 cm distal shaft is designed to overcome these potential issues   FlowGuide PCI with a PLUS

When nothing goes right, just turn to the left! That's what we did in this case, a 75-years-old CLTI patient who needs for a complete TMT amputation. Baseline angio shows moderate tandem stenosis in the SFA; ATA and PT occlusion with patent peroneal, DP and lateral plantar artery. We thought that PT recanalization would be easier than ATA but we failed, with vessel perforation at distal PT. We finally success to recanalize ATA, we also were able to recanalize an occlusion at the plantar arch and this allow us to recanalize also the PT from retrograde. PTA with NC Jade Balloon (OrbusNeich Medical Company Ltd. B-endo, Be Endovascular) and DCB Selution SLR (Cordis) for the SFA. Patient recovering distal pulses and with complete healing of the amputation. #CAHU #CLTI

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Spur® RST: revolutionary BTK treatment for CLTI in conjunction with a DCB. Learn about the Spur Peripheral Retrievable Scaffold System and Retrievable Scaffold Therapy (RST). https://lnkd.in/g9gW2W4y The Spur System is a self-expanding scaffold with an integrated dilatation balloon catheter designed for controlled penetration and lesion preparation through a series of radially expandable spikes. It creates channels that modify the lesion morphology, decreasing the recoil effect and changing vessel compliance. These channels optimize drug uptake when used with a commercially available drug-coated balloon (DCB). To learn more about clinical outcomes, we invite you to view (free) the CIRSE 2024 Satellite Symposium, "Spur RST: maximizing BTK CLTI treatment outcomes." https://shorturl.at/zSQ0k Intended Use: The Spur is intended to treat de novo or restenotic lesions in the infrapopliteal arteries to prepare the vessel for treatment with a commercially available drug-coated balloon to enhance drug absorption. Refer to the Instructions for Use for a complete listing of the Indications, Contraindications, Warnings, Precautions, Adverse Events, and Procedural Steps. https://lnkd.in/gCDbTi8q #CIRSESociety #interventionalradiology #VI #PAD #CLIfighters #Endovascular #CLTI #SpurRST

BRS might be a superior solution for certain SCAD. Spontaneous coronary artery dissection (SCAD) Type 2 with luminal compression of the LAD by a large intramural hematoma and absent dissection of the intima visible by IVUS. Delicate wiring with very low tip load guidewire SUOH 03, confirmation of large intramural hematoma by IVUS, controlled dissection and hematoma release with Scoreflex NC scoring balloon, scaffolding with two Freesolve Mg-based bioresorbable scaffolds (BRS). Minimal Synergy DES over the bifurcation, POT and reverse T with a third Freesolve BRS. #Freesolve #BRS #leavenothingbehind Max Wagener, MD MSc